MS. JANICE MARIE ELLIS-BALLERINI LMHC
NPI 1851618508
Counselor - Mental Health in Somerville, MA
Active since April 20, 2010
About Ms. Janice Marie Ellis-ballerini Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JANICE MARIE ELLIS-BALLERINI LMHC (NPI 1851618508) is an individual mental health provider in Somerville, Massachusetts, licensed in Massachusetts (4888) and active in the NPI registry since April 2010.
NPPES Registry Identity
NPI1851618508
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JANICE MARIE ELLIS-BALLERINICredential: LMHC
Location Address105 ROGERS AVESomerville, MA 02144-2208
Mailing Address105 Rogers AveSomerville, MA 02144-2208 · (617) 623-2195
Phone(617) 623-2195
Sole ProprietorYes
Enumeration DateApril 20, 2010
✔ NPI 1851618508 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 4888
105 ROGERS AVE, Somerville, MA 02144
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851618508, enumerated as an "individual" on April 20, 2010.
The provider is located at 105 ROGERS AVE SOMERVILLE, MA 02144 and the phone number is (617) 623-2195.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
